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General NPI Number Information
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NPI Number | 1447369285
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Entity Type | Organization
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Legal Business Name | COUNTY MANOR REHABILITATION & HEALTH CARE CENTER
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 133 COUNTY RD
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City | TENAFLY
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State | NJ
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Zip | 07670-1815
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Country | US
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Telephone | 201-567-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 133 COUNTY RD
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City | TENAFLY
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State | NJ
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Zip | 07670-1815
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | AVI MAIEROVITS
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Credential |
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Telephone | 732-994-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 060206
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License Number State | NJ
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